Individual
DR. MATTHEW JAMES PERSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
624 N MINNESOTA AVE, HASTINGS, NE 68901-5210
(402) 462-4173
(402) 462-5516
Mailing address
624 N MINNESOTA AVE, HASTINGS, NE 68901-5210
(402) 462-4173
(402) 462-5516
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6216
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025481200
—
NE
Enumeration date
11/02/2007
Last updated
11/02/2007
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